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患者,女性,36岁,农民。外伤后出现高热,因治疗无效于1991年7月29日入院。1991年7月17日因车祸头部受伤在当地住院治疗,无畏寒发热,当日输该院“A”型库血300ml,无异常反应。7月20日,体温上升至38.5℃,呈不规则热型,体温高41℃,治疗无效转入我院。体检 T39℃,P100次/分,Bp14/10kPa。急性病容,贫血貌,巩膜无黄染,左眼结合膜出血,头顶部有长约10cm 的已愈伤口,心肺(-),腹软,肝肋下刚及、脾肋下1cm,质偏中、腹水征(-)。化验:Hb62.3g/L,RBC2.30×10~12/L,WBC3.9×10~9/L,
Patient, female, 36 years old, farmer. High fever after trauma, ineffective treatment was admitted to hospital on July 29, 1991. July 17, 1991 car accident head injury hospitalized in the local, no chills and fever, the day of the hospital lost “A” type library blood 300ml, no abnormal reaction. July 20, body temperature rose to 38.5 ℃, was irregular heat type, high temperature 41 ℃, the treatment was invalid transferred to our hospital. Physical examination T39 ℃, P100 beats / min, Bp14 / 10kPa. Acute disease, anemia appearance, sclera no yellow dye, left eye conjunctival hemorrhage, the top of the head has a healing wound about 10cm, cardiopulmonary (-), abdominal soft, liver ribs just under, 1cm spleen ribs, , Signs of ascites (-). Assay: Hb62.3g / L, RBC2.30 × 10 ~ 12 / L, WBC3.9 × 10 ~ 9 / L,